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demographics_survey.html
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<!DOCTYPE html><html class=''>
<head>
<meta charset='UTF-8'>
<meta name="robots" content="noindex">
<title>The Experiment Factory: Survey</title>
<link rel='stylesheet' type='text/css' href='https://code.getmdl.io/1.1.1/material.blue-red.min.css'>
<link rel='stylesheet' type='text/css' href='static/css/surveys.css'>
<link rel='stylesheet' type='text/css' href='static/js/jquery/ui/smoothness/jquery-ui-1.10.4.custom.min.css'>
</head>
<body>
<script src='static/js/jquery/jquery-2.1.1.min.js'></script>
<script src='https://code.getmdl.io/1.1.1/material.min.js'></script>
<script src='static/js/jquery/ui/jquery-ui-1.10.4.custom.min.js'></script>
<script src='static/js/jquery/jquery.wizard.js'></script>
<script src='static/js/jquery/form/jquery.form-3.50.js'></script>
<script src='static/js/jquery/validate/jquery.validate-1.12.0.min.js'></script>
<div class="experiment-layout mdl-layout mdl-layout--fixed-header mdl-js-layout mdl-color--grey-100">
<div class="experiment-ribbon"></div>
<main class="experiment-main mdl-layout__content">
<div class="experiment-container mdl-grid">
<div class="mdl-cell mdl-cell--2-col mdl-cell--hide-tablet mdl-cell--hide-phone">
</div>
<div class="experiment-content mdl-color--white mdl-shadow--4dp content mdl-color-text--grey-800 mdl-cell mdl-cell--8-col">
<div id="questions">
<form name="questions" action="#", method="POST">
<div class="step">
<h3>Welcome to this survey. Press <strong>Next</strong> to begin.</h3><br><br><br><br></div>
<div class="step">
<h3>Please answer the following questions regarding your demographics.</h3><br><br><br><br></div>
<div class="step">
<p id="demographics_survey_2_options">What is your sex?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_2_0">
<input type="radio" id="option-demographics_survey_2_0" class="mdl-radio__button required page3" name="demographics_survey_2_options" value="0" meta-options="Male|Female" meta-text="What is your sex?">
<span class="mdl-radio__label">Male</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_2_1">
<input type="radio" id="option-demographics_survey_2_1" class="mdl-radio__button required page3" name="demographics_survey_2_options" value="1" meta-options="Male|Female" meta-text="What is your sex?">
<span class="mdl-radio__label">Female</span>
</label><br><br><br><br>
<p id="demographics_survey_3">How old are you (in years)?</p>
<div class="mdl-textfield mdl-js-textfield">
<input class="mdl-textfield__input page3 required" type="number" id="demographics_survey_3" name="demographics_survey_3" meta-text="How old are you (in years)?">
<label class="mdl-textfield__label" for="demographics_survey_3"></label>
<span class="mdl-textfield__error">Input is not a number!</span>
</div><br><br><br>
<p id="demographics_survey_4_options">What is your race?</p>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_0">
<input type="checkbox" id="checkbox-demographics_survey_4_0" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_0_options" value="White">
<span class="mdl-checkbox__label">White</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_1">
<input type="checkbox" id="checkbox-demographics_survey_4_1" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_1_options" value=" American Indian or Alaska Native">
<span class="mdl-checkbox__label"> American Indian or Alaska Native</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_2">
<input type="checkbox" id="checkbox-demographics_survey_4_2" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_2_options" value="Chinese">
<span class="mdl-checkbox__label">Chinese</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_3">
<input type="checkbox" id="checkbox-demographics_survey_4_3" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_3_options" value="Japanese">
<span class="mdl-checkbox__label">Japanese</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_4">
<input type="checkbox" id="checkbox-demographics_survey_4_4" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_4_options" value=" Filipino">
<span class="mdl-checkbox__label"> Filipino</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_5">
<input type="checkbox" id="checkbox-demographics_survey_4_5" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_5_options" value="Korean">
<span class="mdl-checkbox__label">Korean</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_6">
<input type="checkbox" id="checkbox-demographics_survey_4_6" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_6_options" value=" Asian Indian">
<span class="mdl-checkbox__label"> Asian Indian</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_7">
<input type="checkbox" id="checkbox-demographics_survey_4_7" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_7_options" value=" Vietnamese">
<span class="mdl-checkbox__label"> Vietnamese</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_8">
<input type="checkbox" id="checkbox-demographics_survey_4_8" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_8_options" value=" Other Asian">
<span class="mdl-checkbox__label"> Other Asian</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_9">
<input type="checkbox" id="checkbox-demographics_survey_4_9" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_9_options" value=" Black or African American">
<span class="mdl-checkbox__label"> Black or African American</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_10">
<input type="checkbox" id="checkbox-demographics_survey_4_10" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_10_options" value=" Middle Eastern or North African">
<span class="mdl-checkbox__label"> Middle Eastern or North African</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_11">
<input type="checkbox" id="checkbox-demographics_survey_4_11" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_11_options" value=" Native Hawaiian or Other Pacific Islander">
<span class="mdl-checkbox__label"> Native Hawaiian or Other Pacific Islander</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_12">
<input type="checkbox" id="checkbox-demographics_survey_4_12" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_12_options" value="Other">
<span class="mdl-checkbox__label">Other</span>
</label>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_4_13">
<input type="checkbox" id="checkbox-demographics_survey_4_13" meta-options="White| American Indian or Alaska Native|Chinese|Japanese| Filipino|Korean| Asian Indian| Vietnamese| Other Asian| Black or African American| Middle Eastern or North African| Native Hawaiian or Other Pacific Islander|Other|Choose not to respond" meta-text="What is your race?" class="mdl-checkbox__input page3 required" name="demographics_survey_4_13_options" value="Choose not to respond">
<span class="mdl-checkbox__label">Choose not to respond</span>
</label><br><br><br>
<p id="demographics_survey_5">If you chose 'Other' for racial background how would you describe it?</p>
<div class="mdl-textfield mdl-js-textfield">
<input class="mdl-textfield__input page3 " name="demographics_survey_5" type="text" id="demographics_survey_5" meta-text="If you chose 'Other' for racial background how would you describe it?">
<label class="mdl-textfield__label" for="demographics_survey_5"></label>
</div><br><br><br>
<p id="demographics_survey_6_options">Are you of Hispanic, Latino or Spanish origin?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_6_0">
<input type="radio" id="option-demographics_survey_6_0" class="mdl-radio__button required page3" name="demographics_survey_6_options" value="1" meta-options="Yes| No" meta-text="Are you of Hispanic, Latino or Spanish origin?">
<span class="mdl-radio__label">Yes</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_6_1">
<input type="radio" id="option-demographics_survey_6_1" class="mdl-radio__button required page3" name="demographics_survey_6_options" value="0" meta-options="Yes| No" meta-text="Are you of Hispanic, Latino or Spanish origin?">
<span class="mdl-radio__label"> No</span>
</label><br><br><br><br>
<p id="demographics_survey_7_options">What is the highest level of education you have completed?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_7_0">
<input type="radio" id="option-demographics_survey_7_0" class="mdl-radio__button required page3" name="demographics_survey_7_options" value="1" meta-options="Did Not Complete High School| High School/GED| Some College| Bachelor's Degree| Master's Degree| Advanced Graduate work or Ph.D" meta-text="What is the highest level of education you have completed?">
<span class="mdl-radio__label">Did Not Complete High School</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_7_1">
<input type="radio" id="option-demographics_survey_7_1" class="mdl-radio__button required page3" name="demographics_survey_7_options" value="2" meta-options="Did Not Complete High School| High School/GED| Some College| Bachelor's Degree| Master's Degree| Advanced Graduate work or Ph.D" meta-text="What is the highest level of education you have completed?">
<span class="mdl-radio__label"> High School/GED</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_7_2">
<input type="radio" id="option-demographics_survey_7_2" class="mdl-radio__button required page3" name="demographics_survey_7_options" value="3" meta-options="Did Not Complete High School| High School/GED| Some College| Bachelor's Degree| Master's Degree| Advanced Graduate work or Ph.D" meta-text="What is the highest level of education you have completed?">
<span class="mdl-radio__label"> Some College</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_7_3">
<input type="radio" id="option-demographics_survey_7_3" class="mdl-radio__button required page3" name="demographics_survey_7_options" value="4" meta-options="Did Not Complete High School| High School/GED| Some College| Bachelor's Degree| Master's Degree| Advanced Graduate work or Ph.D" meta-text="What is the highest level of education you have completed?">
<span class="mdl-radio__label"> Bachelor's Degree</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_7_4">
<input type="radio" id="option-demographics_survey_7_4" class="mdl-radio__button required page3" name="demographics_survey_7_options" value="5" meta-options="Did Not Complete High School| High School/GED| Some College| Bachelor's Degree| Master's Degree| Advanced Graduate work or Ph.D" meta-text="What is the highest level of education you have completed?">
<span class="mdl-radio__label"> Master's Degree</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_7_5">
<input type="radio" id="option-demographics_survey_7_5" class="mdl-radio__button required page3" name="demographics_survey_7_options" value="6" meta-options="Did Not Complete High School| High School/GED| Some College| Bachelor's Degree| Master's Degree| Advanced Graduate work or Ph.D" meta-text="What is the highest level of education you have completed?">
<span class="mdl-radio__label"> Advanced Graduate work or Ph.D</span>
</label><br><br><br><br>
<p id="demographics_survey_8">How tall are you (in inches: one foot = 12 inches)?</p>
<div class="mdl-textfield mdl-js-textfield">
<input class="mdl-textfield__input page3 required" type="number" id="demographics_survey_8" name="demographics_survey_8" meta-text="How tall are you (in inches: one foot = 12 inches)?">
<label class="mdl-textfield__label" for="demographics_survey_8"></label>
<span class="mdl-textfield__error">Input is not a number!</span>
</div><br><br><br>
<p id="demographics_survey_9">How much do you weigh (in pounds)?</p>
<div class="mdl-textfield mdl-js-textfield">
<input class="mdl-textfield__input page3 required" type="number" id="demographics_survey_9" name="demographics_survey_9" meta-text="How much do you weigh (in pounds)?">
<label class="mdl-textfield__label" for="demographics_survey_9"></label>
<span class="mdl-textfield__error">Input is not a number!</span>
</div><br><br><br>
<p id="demographics_survey_10_options">What is your relationship status?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_10_0">
<input type="radio" id="option-demographics_survey_10_0" class="mdl-radio__button required page3" name="demographics_survey_10_options" value="1" meta-options="Single|Married|In Committed Relationship" meta-text="What is your relationship status?">
<span class="mdl-radio__label">Single</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_10_1">
<input type="radio" id="option-demographics_survey_10_1" class="mdl-radio__button required page3" name="demographics_survey_10_options" value="2" meta-options="Single|Married|In Committed Relationship" meta-text="What is your relationship status?">
<span class="mdl-radio__label">Married</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_10_2">
<input type="radio" id="option-demographics_survey_10_2" class="mdl-radio__button required page3" name="demographics_survey_10_options" value="3" meta-options="Single|Married|In Committed Relationship" meta-text="What is your relationship status?">
<span class="mdl-radio__label">In Committed Relationship</span>
</label><br><br><br><br>
<p id="demographics_survey_11_options">How many times have you been divorced?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_11_0">
<input type="radio" id="option-demographics_survey_11_0" class="mdl-radio__button required page3" name="demographics_survey_11_options" value="0" meta-options="0|1|2|3|4|5|More" meta-text="How many times have you been divorced?">
<span class="mdl-radio__label">0</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_11_1">
<input type="radio" id="option-demographics_survey_11_1" class="mdl-radio__button required page3" name="demographics_survey_11_options" value="1" meta-options="0|1|2|3|4|5|More" meta-text="How many times have you been divorced?">
<span class="mdl-radio__label">1</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_11_2">
<input type="radio" id="option-demographics_survey_11_2" class="mdl-radio__button required page3" name="demographics_survey_11_options" value="2" meta-options="0|1|2|3|4|5|More" meta-text="How many times have you been divorced?">
<span class="mdl-radio__label">2</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_11_3">
<input type="radio" id="option-demographics_survey_11_3" class="mdl-radio__button required page3" name="demographics_survey_11_options" value="3" meta-options="0|1|2|3|4|5|More" meta-text="How many times have you been divorced?">
<span class="mdl-radio__label">3</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_11_4">
<input type="radio" id="option-demographics_survey_11_4" class="mdl-radio__button required page3" name="demographics_survey_11_options" value="4" meta-options="0|1|2|3|4|5|More" meta-text="How many times have you been divorced?">
<span class="mdl-radio__label">4</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_11_5">
<input type="radio" id="option-demographics_survey_11_5" class="mdl-radio__button required page3" name="demographics_survey_11_options" value="5" meta-options="0|1|2|3|4|5|More" meta-text="How many times have you been divorced?">
<span class="mdl-radio__label">5</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_11_6">
<input type="radio" id="option-demographics_survey_11_6" class="mdl-radio__button required page3" name="demographics_survey_11_options" value="6" meta-options="0|1|2|3|4|5|More" meta-text="How many times have you been divorced?">
<span class="mdl-radio__label">More</span>
</label><br><br><br><br>
<p id="demographics_survey_12">How long was/is your longest romantic relationship (in months: one year = 12 months)?</p>
<div class="mdl-textfield mdl-js-textfield">
<input class="mdl-textfield__input page3 required" type="number" id="demographics_survey_12" name="demographics_survey_12" meta-text="How long was/is your longest romantic relationship (in months: one year = 12 months)?">
<label class="mdl-textfield__label" for="demographics_survey_12"></label>
<span class="mdl-textfield__error">Input is not a number!</span>
</div><br><br><br>
<p id="demographics_survey_13_options">How many romantic relationships have you had?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_13_0">
<input type="radio" id="option-demographics_survey_13_0" class="mdl-radio__button required page3" name="demographics_survey_13_options" value="1" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many romantic relationships have you had?">
<span class="mdl-radio__label">0</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_13_1">
<input type="radio" id="option-demographics_survey_13_1" class="mdl-radio__button required page3" name="demographics_survey_13_options" value="2" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many romantic relationships have you had?">
<span class="mdl-radio__label">1</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_13_2">
<input type="radio" id="option-demographics_survey_13_2" class="mdl-radio__button required page3" name="demographics_survey_13_options" value="3" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many romantic relationships have you had?">
<span class="mdl-radio__label">2</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_13_3">
<input type="radio" id="option-demographics_survey_13_3" class="mdl-radio__button required page3" name="demographics_survey_13_options" value="4" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many romantic relationships have you had?">
<span class="mdl-radio__label">3</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_13_4">
<input type="radio" id="option-demographics_survey_13_4" class="mdl-radio__button required page3" name="demographics_survey_13_options" value="5" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many romantic relationships have you had?">
<span class="mdl-radio__label">4</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_13_5">
<input type="radio" id="option-demographics_survey_13_5" class="mdl-radio__button required page3" name="demographics_survey_13_options" value="6" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many romantic relationships have you had?">
<span class="mdl-radio__label">5-10</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_13_6">
<input type="radio" id="option-demographics_survey_13_6" class="mdl-radio__button required page3" name="demographics_survey_13_options" value="7" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many romantic relationships have you had?">
<span class="mdl-radio__label">>10</span>
</label><br><br><br><br>
<p id="demographics_survey_14_options">How many children do you have?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_14_0">
<input type="radio" id="option-demographics_survey_14_0" class="mdl-radio__button required page3" name="demographics_survey_14_options" value="1" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many children do you have?">
<span class="mdl-radio__label">0</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_14_1">
<input type="radio" id="option-demographics_survey_14_1" class="mdl-radio__button required page3" name="demographics_survey_14_options" value="2" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many children do you have?">
<span class="mdl-radio__label">1</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_14_2">
<input type="radio" id="option-demographics_survey_14_2" class="mdl-radio__button required page3" name="demographics_survey_14_options" value="3" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many children do you have?">
<span class="mdl-radio__label">2</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_14_3">
<input type="radio" id="option-demographics_survey_14_3" class="mdl-radio__button required page3" name="demographics_survey_14_options" value="4" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many children do you have?">
<span class="mdl-radio__label">3</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_14_4">
<input type="radio" id="option-demographics_survey_14_4" class="mdl-radio__button required page3" name="demographics_survey_14_options" value="5" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many children do you have?">
<span class="mdl-radio__label">4</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_14_5">
<input type="radio" id="option-demographics_survey_14_5" class="mdl-radio__button required page3" name="demographics_survey_14_options" value="6" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many children do you have?">
<span class="mdl-radio__label">5-10</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_14_6">
<input type="radio" id="option-demographics_survey_14_6" class="mdl-radio__button required page3" name="demographics_survey_14_options" value="7" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many children do you have?">
<span class="mdl-radio__label">>10</span>
</label><br><br><br><br></div>
<div class="step">
<p id="demographics_survey_15">What is your household's annual income (in dollars)?</p>
<div class="mdl-textfield mdl-js-textfield">
<input class="mdl-textfield__input page4 required" type="number" id="demographics_survey_15" name="demographics_survey_15" meta-text="What is your household's annual income (in dollars)?">
<label class="mdl-textfield__label" for="demographics_survey_15"></label>
<span class="mdl-textfield__error">Input is not a number!</span>
</div><br><br><br>
<p id="demographics_survey_16_options">Do you have a retirement account?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_16_0">
<input type="radio" id="option-demographics_survey_16_0" class="mdl-radio__button required page4" name="demographics_survey_16_options" value="1" meta-options="Yes|No" meta-text="Do you have a retirement account?">
<span class="mdl-radio__label">Yes</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_16_1">
<input type="radio" id="option-demographics_survey_16_1" class="mdl-radio__button required page4" name="demographics_survey_16_options" value="2" meta-options="Yes|No" meta-text="Do you have a retirement account?">
<span class="mdl-radio__label">No</span>
</label><br><br><br><br>
<p id="demographics_survey_17">If you do have a retirement account what percent is in stocks?</p>
<div class="mdl-textfield mdl-js-textfield">
<input class="mdl-textfield__input page4 " type="number" id="demographics_survey_17" name="demographics_survey_17" meta-text="If you do have a retirement account what percent is in stocks?">
<label class="mdl-textfield__label" for="demographics_survey_17"></label>
<span class="mdl-textfield__error">Input is not a number!</span>
</div><br><br><br>
<p id="demographics_survey_18_options">Do you rent or own your home/apartment?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_18_0">
<input type="radio" id="option-demographics_survey_18_0" class="mdl-radio__button required page4" name="demographics_survey_18_options" value="1" meta-options="Rent| Own" meta-text="Do you rent or own your home/apartment?">
<span class="mdl-radio__label">Rent</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_18_1">
<input type="radio" id="option-demographics_survey_18_1" class="mdl-radio__button required page4" name="demographics_survey_18_options" value="2" meta-options="Rent| Own" meta-text="Do you rent or own your home/apartment?">
<span class="mdl-radio__label"> Own</span>
</label><br><br><br><br>
<p id="demographics_survey_19_options">How much mortgage debt do you have?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_19_0">
<input type="radio" id="option-demographics_survey_19_0" class="mdl-radio__button required page4" name="demographics_survey_19_options" value="1" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much mortgage debt do you have?">
<span class="mdl-radio__label"><$500</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_19_1">
<input type="radio" id="option-demographics_survey_19_1" class="mdl-radio__button required page4" name="demographics_survey_19_options" value="2" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much mortgage debt do you have?">
<span class="mdl-radio__label">$500-$2500</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_19_2">
<input type="radio" id="option-demographics_survey_19_2" class="mdl-radio__button required page4" name="demographics_survey_19_options" value="3" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much mortgage debt do you have?">
<span class="mdl-radio__label">$2500-$10000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_19_3">
<input type="radio" id="option-demographics_survey_19_3" class="mdl-radio__button required page4" name="demographics_survey_19_options" value="4" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much mortgage debt do you have?">
<span class="mdl-radio__label">$10000-$25000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_19_4">
<input type="radio" id="option-demographics_survey_19_4" class="mdl-radio__button required page4" name="demographics_survey_19_options" value="5" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much mortgage debt do you have?">
<span class="mdl-radio__label">$25000-$50000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_19_5">
<input type="radio" id="option-demographics_survey_19_5" class="mdl-radio__button required page4" name="demographics_survey_19_options" value="6" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much mortgage debt do you have?">
<span class="mdl-radio__label">$50000-$100000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_19_6">
<input type="radio" id="option-demographics_survey_19_6" class="mdl-radio__button required page4" name="demographics_survey_19_options" value="7" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much mortgage debt do you have?">
<span class="mdl-radio__label">$100000-$200000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_19_7">
<input type="radio" id="option-demographics_survey_19_7" class="mdl-radio__button required page4" name="demographics_survey_19_options" value="8" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much mortgage debt do you have?">
<span class="mdl-radio__label">>$200000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_19_8">
<input type="radio" id="option-demographics_survey_19_8" class="mdl-radio__button required page4" name="demographics_survey_19_options" value=" 0" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much mortgage debt do you have?">
<span class="mdl-radio__label"> Prefer Not To Say</span>
</label><br><br><br><br>
<p id="demographics_survey_20_options">How much car-related debt do you have?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_20_0">
<input type="radio" id="option-demographics_survey_20_0" class="mdl-radio__button required page4" name="demographics_survey_20_options" value="1" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much car-related debt do you have?">
<span class="mdl-radio__label"><$500</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_20_1">
<input type="radio" id="option-demographics_survey_20_1" class="mdl-radio__button required page4" name="demographics_survey_20_options" value="2" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much car-related debt do you have?">
<span class="mdl-radio__label">$500-$2500</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_20_2">
<input type="radio" id="option-demographics_survey_20_2" class="mdl-radio__button required page4" name="demographics_survey_20_options" value="3" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much car-related debt do you have?">
<span class="mdl-radio__label">$2500-$10000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_20_3">
<input type="radio" id="option-demographics_survey_20_3" class="mdl-radio__button required page4" name="demographics_survey_20_options" value="4" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much car-related debt do you have?">
<span class="mdl-radio__label">$10000-$25000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_20_4">
<input type="radio" id="option-demographics_survey_20_4" class="mdl-radio__button required page4" name="demographics_survey_20_options" value="5" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much car-related debt do you have?">
<span class="mdl-radio__label">$25000-$50000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_20_5">
<input type="radio" id="option-demographics_survey_20_5" class="mdl-radio__button required page4" name="demographics_survey_20_options" value="6" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much car-related debt do you have?">
<span class="mdl-radio__label">$50000-$100000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_20_6">
<input type="radio" id="option-demographics_survey_20_6" class="mdl-radio__button required page4" name="demographics_survey_20_options" value="7" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much car-related debt do you have?">
<span class="mdl-radio__label">$100000-$200000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_20_7">
<input type="radio" id="option-demographics_survey_20_7" class="mdl-radio__button required page4" name="demographics_survey_20_options" value="8" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much car-related debt do you have?">
<span class="mdl-radio__label">>$200000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_20_8">
<input type="radio" id="option-demographics_survey_20_8" class="mdl-radio__button required page4" name="demographics_survey_20_options" value=" 0" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much car-related debt do you have?">
<span class="mdl-radio__label"> Prefer Not To Say</span>
</label><br><br><br><br>
<p id="demographics_survey_21_options">How much education debt do you have?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_21_0">
<input type="radio" id="option-demographics_survey_21_0" class="mdl-radio__button required page4" name="demographics_survey_21_options" value="1" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much education debt do you have?">
<span class="mdl-radio__label"><$500</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_21_1">
<input type="radio" id="option-demographics_survey_21_1" class="mdl-radio__button required page4" name="demographics_survey_21_options" value="2" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much education debt do you have?">
<span class="mdl-radio__label">$500-$2500</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_21_2">
<input type="radio" id="option-demographics_survey_21_2" class="mdl-radio__button required page4" name="demographics_survey_21_options" value="3" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much education debt do you have?">
<span class="mdl-radio__label">$2500-$10000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_21_3">
<input type="radio" id="option-demographics_survey_21_3" class="mdl-radio__button required page4" name="demographics_survey_21_options" value="4" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much education debt do you have?">
<span class="mdl-radio__label">$10000-$25000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_21_4">
<input type="radio" id="option-demographics_survey_21_4" class="mdl-radio__button required page4" name="demographics_survey_21_options" value="5" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much education debt do you have?">
<span class="mdl-radio__label">$25000-$50000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_21_5">
<input type="radio" id="option-demographics_survey_21_5" class="mdl-radio__button required page4" name="demographics_survey_21_options" value="6" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much education debt do you have?">
<span class="mdl-radio__label">$50000-$100000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_21_6">
<input type="radio" id="option-demographics_survey_21_6" class="mdl-radio__button required page4" name="demographics_survey_21_options" value="7" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much education debt do you have?">
<span class="mdl-radio__label">$100000-$200000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_21_7">
<input type="radio" id="option-demographics_survey_21_7" class="mdl-radio__button required page4" name="demographics_survey_21_options" value="8" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much education debt do you have?">
<span class="mdl-radio__label">>$200000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_21_8">
<input type="radio" id="option-demographics_survey_21_8" class="mdl-radio__button required page4" name="demographics_survey_21_options" value=" 0" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much education debt do you have?">
<span class="mdl-radio__label"> Prefer Not To Say</span>
</label><br><br><br><br>
<p id="demographics_survey_22_options">How much credit card debt do you have?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_22_0">
<input type="radio" id="option-demographics_survey_22_0" class="mdl-radio__button required page4" name="demographics_survey_22_options" value="1" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much credit card debt do you have?">
<span class="mdl-radio__label"><$500</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_22_1">
<input type="radio" id="option-demographics_survey_22_1" class="mdl-radio__button required page4" name="demographics_survey_22_options" value="2" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much credit card debt do you have?">
<span class="mdl-radio__label">$500-$2500</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_22_2">
<input type="radio" id="option-demographics_survey_22_2" class="mdl-radio__button required page4" name="demographics_survey_22_options" value="3" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much credit card debt do you have?">
<span class="mdl-radio__label">$2500-$10000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_22_3">
<input type="radio" id="option-demographics_survey_22_3" class="mdl-radio__button required page4" name="demographics_survey_22_options" value="4" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much credit card debt do you have?">
<span class="mdl-radio__label">$10000-$25000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_22_4">
<input type="radio" id="option-demographics_survey_22_4" class="mdl-radio__button required page4" name="demographics_survey_22_options" value="5" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much credit card debt do you have?">
<span class="mdl-radio__label">$25000-$50000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_22_5">
<input type="radio" id="option-demographics_survey_22_5" class="mdl-radio__button required page4" name="demographics_survey_22_options" value="6" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much credit card debt do you have?">
<span class="mdl-radio__label">$50000-$100000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_22_6">
<input type="radio" id="option-demographics_survey_22_6" class="mdl-radio__button required page4" name="demographics_survey_22_options" value="7" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much credit card debt do you have?">
<span class="mdl-radio__label">$100000-$200000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_22_7">
<input type="radio" id="option-demographics_survey_22_7" class="mdl-radio__button required page4" name="demographics_survey_22_options" value="8" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much credit card debt do you have?">
<span class="mdl-radio__label">>$200000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_22_8">
<input type="radio" id="option-demographics_survey_22_8" class="mdl-radio__button required page4" name="demographics_survey_22_options" value=" 0" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="How much credit card debt do you have?">
<span class="mdl-radio__label"> Prefer Not To Say</span>
</label><br><br><br><br>
<p id="demographics_survey_23">Please list any other sources of debt you have:</p>
<div class="mdl-textfield mdl-js-textfield">
<input class="mdl-textfield__input page4 " name="demographics_survey_23" type="text" id="demographics_survey_23" meta-text="Please list any other sources of debt you have:">
<label class="mdl-textfield__label" for="demographics_survey_23"></label>
</div><br><br><br>
<p id="demographics_survey_24_options">If you listed any other sources of debt, how much debt do you have?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_24_0">
<input type="radio" id="option-demographics_survey_24_0" class="mdl-radio__button page4" name="demographics_survey_24_options" value="1" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="If you listed any other sources of debt, how much debt do you have?">
<span class="mdl-radio__label"><$500</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_24_1">
<input type="radio" id="option-demographics_survey_24_1" class="mdl-radio__button page4" name="demographics_survey_24_options" value="2" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="If you listed any other sources of debt, how much debt do you have?">
<span class="mdl-radio__label">$500-$2500</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_24_2">
<input type="radio" id="option-demographics_survey_24_2" class="mdl-radio__button page4" name="demographics_survey_24_options" value="3" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="If you listed any other sources of debt, how much debt do you have?">
<span class="mdl-radio__label">$2500-$10000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_24_3">
<input type="radio" id="option-demographics_survey_24_3" class="mdl-radio__button page4" name="demographics_survey_24_options" value="4" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="If you listed any other sources of debt, how much debt do you have?">
<span class="mdl-radio__label">$10000-$25000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_24_4">
<input type="radio" id="option-demographics_survey_24_4" class="mdl-radio__button page4" name="demographics_survey_24_options" value="5" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="If you listed any other sources of debt, how much debt do you have?">
<span class="mdl-radio__label">$25000-$50000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_24_5">
<input type="radio" id="option-demographics_survey_24_5" class="mdl-radio__button page4" name="demographics_survey_24_options" value="6" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="If you listed any other sources of debt, how much debt do you have?">
<span class="mdl-radio__label">$50000-$100000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_24_6">
<input type="radio" id="option-demographics_survey_24_6" class="mdl-radio__button page4" name="demographics_survey_24_options" value="7" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="If you listed any other sources of debt, how much debt do you have?">
<span class="mdl-radio__label">$100000-$200000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_24_7">
<input type="radio" id="option-demographics_survey_24_7" class="mdl-radio__button page4" name="demographics_survey_24_options" value="8" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="If you listed any other sources of debt, how much debt do you have?">
<span class="mdl-radio__label">>$200000</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_24_8">
<input type="radio" id="option-demographics_survey_24_8" class="mdl-radio__button page4" name="demographics_survey_24_options" value="0" meta-options="<$500|$500-$2500|$2500-$10000|$10000-$25000|$25000-$50000|$50000-$100000|$100000-$200000|>$200000| Prefer Not To Say" meta-text="If you listed any other sources of debt, how much debt do you have?">
<span class="mdl-radio__label"> Prefer Not To Say</span>
</label><br><br><br><br></div>
<div class="step">
<p id="demographics_survey_25">On average, how many cups of coffee do you have each day?</p>
<div class="mdl-textfield mdl-js-textfield">
<input class="mdl-textfield__input page5 required" type="number" id="demographics_survey_25" name="demographics_survey_25" meta-text="On average, how many cups of coffee do you have each day?">
<label class="mdl-textfield__label" for="demographics_survey_25"></label>
<span class="mdl-textfield__error">Input is not a number!</span>
</div><br><br><br>
<p id="demographics_survey_26">On average, how many cups of tea do you have each day?</p>
<div class="mdl-textfield mdl-js-textfield">
<input class="mdl-textfield__input page5 required" type="number" id="demographics_survey_26" name="demographics_survey_26" meta-text="On average, how many cups of tea do you have each day?">
<label class="mdl-textfield__label" for="demographics_survey_26"></label>
<span class="mdl-textfield__error">Input is not a number!</span>
</div><br><br><br>
<p id="demographics_survey_27">On average, how many cans of caffeinated soda do you have each day?</p>
<div class="mdl-textfield mdl-js-textfield">
<input class="mdl-textfield__input page5 required" type="number" id="demographics_survey_27" name="demographics_survey_27" meta-text="On average, how many cans of caffeinated soda do you have each day?">
<label class="mdl-textfield__label" for="demographics_survey_27"></label>
<span class="mdl-textfield__error">Input is not a number!</span>
</div><br><br><br>
<p id="demographics_survey_28">What is your daily caffeine intake from other sources each day (in mg)?</p>
<div class="mdl-textfield mdl-js-textfield">
<input class="mdl-textfield__input page5 required" type="number" id="demographics_survey_28" name="demographics_survey_28" meta-text="What is your daily caffeine intake from other sources each day (in mg)?">
<label class="mdl-textfield__label" for="demographics_survey_28"></label>
<span class="mdl-textfield__error">Input is not a number!</span>
</div><br><br><br>
<p id="demographics_survey_29_options">Do you feel you have a problem with gambling?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_29_0">
<input type="radio" id="option-demographics_survey_29_0" class="mdl-radio__button required page5" name="demographics_survey_29_options" value="0" meta-options="no| yes in the past but not now| yes" meta-text="Do you feel you have a problem with gambling?">
<span class="mdl-radio__label">no</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_29_1">
<input type="radio" id="option-demographics_survey_29_1" class="mdl-radio__button required page5" name="demographics_survey_29_options" value="1" meta-options="no| yes in the past but not now| yes" meta-text="Do you feel you have a problem with gambling?">
<span class="mdl-radio__label"> yes in the past but not now</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_29_2">
<input type="radio" id="option-demographics_survey_29_2" class="mdl-radio__button required page5" name="demographics_survey_29_options" value="2" meta-options="no| yes in the past but not now| yes" meta-text="Do you feel you have a problem with gambling?">
<span class="mdl-radio__label"> yes</span>
</label><br><br><br><br>
<p id="demographics_survey_30_options">How many traffic tickets have you gotten in the last year?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_30_0">
<input type="radio" id="option-demographics_survey_30_0" class="mdl-radio__button required page5" name="demographics_survey_30_options" value="1" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic tickets have you gotten in the last year?">
<span class="mdl-radio__label">0</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_30_1">
<input type="radio" id="option-demographics_survey_30_1" class="mdl-radio__button required page5" name="demographics_survey_30_options" value="2" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic tickets have you gotten in the last year?">
<span class="mdl-radio__label">1</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_30_2">
<input type="radio" id="option-demographics_survey_30_2" class="mdl-radio__button required page5" name="demographics_survey_30_options" value="3" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic tickets have you gotten in the last year?">
<span class="mdl-radio__label">2</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_30_3">
<input type="radio" id="option-demographics_survey_30_3" class="mdl-radio__button required page5" name="demographics_survey_30_options" value="4" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic tickets have you gotten in the last year?">
<span class="mdl-radio__label">3</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_30_4">
<input type="radio" id="option-demographics_survey_30_4" class="mdl-radio__button required page5" name="demographics_survey_30_options" value="5" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic tickets have you gotten in the last year?">
<span class="mdl-radio__label">4</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_30_5">
<input type="radio" id="option-demographics_survey_30_5" class="mdl-radio__button required page5" name="demographics_survey_30_options" value="6" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic tickets have you gotten in the last year?">
<span class="mdl-radio__label">5-10</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_30_6">
<input type="radio" id="option-demographics_survey_30_6" class="mdl-radio__button required page5" name="demographics_survey_30_options" value="7" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic tickets have you gotten in the last year?">
<span class="mdl-radio__label">>10</span>
</label><br><br><br><br>
<p id="demographics_survey_31_options">How many traffic accidents have you been in over your life?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_31_0">
<input type="radio" id="option-demographics_survey_31_0" class="mdl-radio__button required page5" name="demographics_survey_31_options" value="1" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic accidents have you been in over your life?">
<span class="mdl-radio__label">0</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_31_1">
<input type="radio" id="option-demographics_survey_31_1" class="mdl-radio__button required page5" name="demographics_survey_31_options" value="2" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic accidents have you been in over your life?">
<span class="mdl-radio__label">1</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_31_2">
<input type="radio" id="option-demographics_survey_31_2" class="mdl-radio__button required page5" name="demographics_survey_31_options" value="3" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic accidents have you been in over your life?">
<span class="mdl-radio__label">2</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_31_3">
<input type="radio" id="option-demographics_survey_31_3" class="mdl-radio__button required page5" name="demographics_survey_31_options" value="4" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic accidents have you been in over your life?">
<span class="mdl-radio__label">3</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_31_4">
<input type="radio" id="option-demographics_survey_31_4" class="mdl-radio__button required page5" name="demographics_survey_31_options" value="5" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic accidents have you been in over your life?">
<span class="mdl-radio__label">4</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_31_5">
<input type="radio" id="option-demographics_survey_31_5" class="mdl-radio__button required page5" name="demographics_survey_31_options" value="6" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic accidents have you been in over your life?">
<span class="mdl-radio__label">5-10</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_31_6">
<input type="radio" id="option-demographics_survey_31_6" class="mdl-radio__button required page5" name="demographics_survey_31_options" value="7" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many traffic accidents have you been in over your life?">
<span class="mdl-radio__label">>10</span>
</label><br><br><br><br>
<p id="demographics_survey_32_options">How many times in your life have you been arrested and/or charged with illegal activities?</p>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_32_0">
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<span class="mdl-radio__label">0</span>
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<span class="mdl-radio__label">1</span>
</label>
<label class="mdl-radio mdl-js-radio mdl-js-ripple-effect" for="option-demographics_survey_32_2">
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<span class="mdl-radio__label">2</span>
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<input type="radio" id="option-demographics_survey_32_3" class="mdl-radio__button required page5" name="demographics_survey_32_options" value="4" meta-options="0|1|2|3|4|5-10|>10" meta-text="How many times in your life have you been arrested and/or charged with illegal activities?">
<span class="mdl-radio__label">3</span>
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<span class="mdl-radio__label">4</span>
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<span class="mdl-radio__label">5-10</span>
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<span class="mdl-radio__label">>10</span>
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<p id="demographics_survey_33_options">What are you motivations for participating in this experiment?</p>
<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_33_0">
<input type="checkbox" id="checkbox-demographics_survey_33_0" meta-options="money|tasks are fun|want to contribute to research|other" meta-text="What are you motivations for participating in this experiment?" class="mdl-checkbox__input page5 required" name="demographics_survey_33_0_options" value="money">
<span class="mdl-checkbox__label">money</span>
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<input type="checkbox" id="checkbox-demographics_survey_33_1" meta-options="money|tasks are fun|want to contribute to research|other" meta-text="What are you motivations for participating in this experiment?" class="mdl-checkbox__input page5 required" name="demographics_survey_33_1_options" value="tasks are fun">
<span class="mdl-checkbox__label">tasks are fun</span>
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<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_33_2">
<input type="checkbox" id="checkbox-demographics_survey_33_2" meta-options="money|tasks are fun|want to contribute to research|other" meta-text="What are you motivations for participating in this experiment?" class="mdl-checkbox__input page5 required" name="demographics_survey_33_2_options" value="want to contribute to research">
<span class="mdl-checkbox__label">want to contribute to research</span>
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<label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect" for="checkbox-demographics_survey_33_3">
<input type="checkbox" id="checkbox-demographics_survey_33_3" meta-options="money|tasks are fun|want to contribute to research|other" meta-text="What are you motivations for participating in this experiment?" class="mdl-checkbox__input page5 required" name="demographics_survey_33_3_options" value="other">
<span class="mdl-checkbox__label">other</span>
</label><br><br><br>
<p id="demographics_survey_34">If you have other motivations, please list them. </p>
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<h3>Congratulations for completing this survey! Press <strong>finish</strong> to continue.</h3><br><br><br><br></div>
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<li><button type="submit" name="process" class="submit mdl-button mdl-js-button mdl-button--raised mdl-js-ripple-effect mdl-button--accent">Finish</button></li>
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